Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,751.77 / $1,751.77 / $8,500.00	Facility		$1,751.77	$1,751.77	$8,500.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $350.35 / $350.35 / $350.35	Facility	53	$350.35	$350.35	$350.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,751.77 / $2,272.40 / $5,255.31	Facility		$1,751.77	$2,272.40	$5,255.31